Individual
MISS SUMAIA REINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13002 AVALON CREST CT, RIVERVIEW, FL 33579-7175
(917) 587-3731
Mailing address
13002 AVALON CREST CT, RIVERVIEW, FL 33579-7175
(917) 587-3731
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
06/20/2023
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